Clinical trial

Genome-wide Epistasis for Cardiovascular Severity in Marfan Study

Name
20/08/087
Description
Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder with pleiotropic manifestations in the ocular, skeletal and cardiovascular systems. Morbidity and mortality are mostly determined by aortic root aneurysm dissection and rupture. Although mutations in FBN1, the gene coding for the extracellular matrix protein fibrillin-1, are the well-established genetic cause of this condition, there is a very poor correlation between the nature or location of the causal FBN1 mutation and the phenotypical outcome. Indeed, wide intra- and interfamilial phenotypical variability is observed. So, even with an identical primary mutation in all family members, the clinical spectrum varies widely, from completely asymptomatic to sudden death due to aortic dissection at a young age. The precise mechanisms underlying this variability remain largely elusive. Consequently, a better understanding of the functional effects of the primary mutation is highly needed and the identification of genetic variation that modifies these effects is becoming increasingly important. In this project, we have carefully selected different innovative strategies to discover mother nature's own modifying capabilities with respect to Marfan syndrome aortopathy.
Trial arms
Trial start
2020-11-30
Estimated PCD
2025-10-31
Trial end
2025-10-31
Status
Recruiting
Treatment
Saliva collection (screening of all participants)
All participants will give a salive sample (self-sampling kit) - selection of 25% extremes (UMC and AMC) participants for WGS and linkage analysis
Arms:
AMC (Affected Mutation Carrier), UMC (Unaffected Mutation Carrier)
Bloodsampling
Based on the results of the WGS, a selection will be made of the 5% most extremes (UMC and AMC) participants for the iPSC-VSMC generation
Arms:
AMC (Affected Mutation Carrier), UMC (Unaffected Mutation Carrier)
Size
200
Primary endpoint
Molecular characterization of the assembled 25% extreme ends cohort (UMC and AMC).
September 2023
Eligibility criteria
Inclusion Criteria: * Participants with proven mutation (p.Ile2585Thr;c.7754C\>T) in the FBN1 gene Exclusion Criteria: -
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'CASE_CONTROL', 'timePerspective': 'PROSPECTIVE'}, 'bioSpec': {'retention': 'SAMPLES_WITH_DNA', 'description': '1. saliva collection (screening all subjects)\n2. bloodsampling (5% most extremes UMC and AMC participants)'}, 'enrollmentInfo': {'count': 200, 'type': 'ESTIMATED'}}
Updated at
2024-02-13

1 organization

2 products

2 indications

Indication
Marfan syndrome
Indication
FBN1 Mutation